小切口外科手术治疗儿童脓胸32例疗效分析

Small incision surgical therapy for 32 children with empyema

目的评价早期小切口外科手术治疗儿童脓胸的治疗效果。方法回顾性分析本院2005年2月至2015年7月收治的脓胸患儿32例，早期行小切口外科手术并分析疗效。结果32例患儿均在全麻下行胸腔廓清术＋胸膜剥脱术，术后患儿症状明显减轻，复查胸部CT或胸片显示肺复张良好，胸腔内无明显残腔，随访6个月～4年，无复发。结论早期小切口外科手术治疗儿童脓胸能取得良好的临床效果。

Objective To study the effect of early small incision surgical therapy for children with empyema. Methods From February 2005 to July 2015, 32 children with empyema was treated in our hospital. Early small incision surgery was made and the therapeutic effect was analyzed. Results All the 32 children were treated with thoracic cavity clearance and one-pleurectomy under general anesthesia, the symptoms significantly reduced after surgery, chest CT or chest X-ray showed that pulmonary reexpansion was good, there was no residual cavity, and there was no relapsed case during following up of 6 to 48 months. Conclusion Children with empyema can be successfully treated with early small incision surgery.